Consultation by Email

【Mandatory items】Please fill all items.

*We will respond to emails during business hours (10 - 19) in the order that they are received.

Name
Email address
*Please enter in one-byte characters/numbers.
*Please do not use another person’s e-mail address.
*If you have set domain-specific reception for e-mail, please modify your setting so that you can receive the following domain.
@sbc.or.jp
E-mail Address
(re-enter)
Please re-enter for confirmation.

*Please enter in one-byte characters/numbers.
Sex  
Age years of age
*Please enter in one-byte number.
Content of Consultation Please specify the content of consultation.

 

 

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Shonan Medical Clinic Immunotherapy Free dial:0120-798-300 AM10:00~PM7:00

 

 

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